A recent surgeon's conference presentation covered in the New York Times is warning plastic surgeons to pick their patients carefully:

Despite the financial incentive to take on any patient, facial plastic surgeons, who only do cosmetic enhancements from the neck up, say that operating on someone who has unreasonable expectations can have stark consequences for their livelihood and reputation: Doctors may have to do revision surgery. Postoperative follow-up is very time consuming — not to mention the potential damage a single disgruntled patient can do over the Internet.

What was interesting to me about this article is how it reflects a power shift.  In the past, these patients would just have complained to their friends and in rare cases, a medical board.  Now, they're taking their complaints worldwide.  Doctors are changing their behavior accordingly. 

I hope that in addition to being more careful about the emotional issues associated with plastic surgery, they are also paying more attention to their craft.